Healthcare Provider Details

I. General information

NPI: 1952470528
Provider Name (Legal Business Name): DAYSPRING SERVICES OF ARKANSAS L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/07/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5537 BLEAUX AVE
SPRINGDALE AR
72762-0737
US

IV. Provider business mailing address

5537 BLEAUX AVE
SPRINGDALE AR
72762-0737
US

V. Phone/Fax

Practice location:
  • Phone: 479-872-5580
  • Fax: 479-872-5581
Mailing address:
  • Phone: 479-872-5580
  • Fax: 479-872-5581

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. TAMMY PIERCE
Title or Position: BILLING MANAGER
Credential:
Phone: 479-872-5580